2026 HealthSpring Assurance Rx (PDP) formulary (drug list)
Contract S5617, plan 133 · Colorado · 3,188 drugs on file · formulary ID 00026089. Each drug links to its cost in every CMS PDP Region 27 plan.
41 drugs starting with Z.
| Drug name | Tier | 30-day preferred pharmacy | 90-day mail order | Usage management |
|---|---|---|---|---|
| ZAFEMY 150/35 ug/d PatchNorelgestromin And Ethinyl Estradiol | 3Preferred Brand | 20% | 20% | None |
| ZAFIRLUKAST 10 mg Tablet, Film Coated | 4Non-Preferred Drug | 30% | 30% |
|
| ZAFIRLUKAST 20 mg Tablet, Film Coated | 4Non-Preferred Drug | 30% | 30% |
|
| ZEJULA 100 mg Tablet, Film CoatedNiraparib | 5Specialty Tier | 25% | N/A |
|
| ZEJULA 200 mg Tablet, Film CoatedNiraparib | 5Specialty Tier | 25% | N/A |
|
| ZEJULA 300 mg Tablet, Film CoatedNiraparib | 5Specialty Tier | 25% | N/A |
|
| ZELBORAF 240 mg Tablet, Film CoatedVemurafenib | 5Specialty Tier | 25% | N/A |
|
| ZENPEP 10000/32000/42000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 15000/47000/63000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 20000/63000/84000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 25000/79000/105000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 3000/10000/14000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 40000/126000/168000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 5000/17000/24000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZENPEP 60000/189600/252600 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase | 3Preferred Brand | 20% | 20% | None |
| ZIDOVUDINE 10 mg/mL Syrup | 4Non-Preferred Drug | 30% | 30% |
|
| ZIDOVUDINE 100 mg Capsule | 4Non-Preferred Drug | 30% | 30% |
|
| ZIDOVUDINE 300 mg Tablet | 2Generic | $2.00 | $2.00 |
|
| ZIPRASIDONE 20 mg Capsule | 4Non-Preferred Drug | 30% | 30% |
|
| ZIPRASIDONE 40 mg Capsule | 4Non-Preferred Drug | 30% | 30% |
|
| ZIPRASIDONE 60 mg Capsule | 4Non-Preferred Drug | 30% | 30% |
|
| ZIPRASIDONE 80 mg Capsule | 4Non-Preferred Drug | 30% | 30% |
|
| ZIPRASIDONE MESYLATE 20 mg/mL Injection, Powder, Lyophilized, For Solution | 4Non-Preferred Drug | 30% | 30% |
|
| ZIRGAN 1.5 mg/g GelGanciclovir | 4Non-Preferred Drug | 30% | 30% | None |
| ZOLINZA 100 mg CapsuleVorinostat | 5Specialty Tier | 25% | N/A |
|
| ZOLPIDEM TARTRATE 10 mg Tablet, Film Coated | 2Generic | $2.00 | $2.00 |
|
| ZOLPIDEM TARTRATE 5 mg Tablet, Film Coated | 2Generic | $2.00 | $2.00 |
|
| ZONISADE 100 mg/5mL SuspensionZonisamide | 5Specialty Tier | 25% | N/A |
|
| ZONISAMIDE 100 mg Capsule | 2Generic | $2.00 | $2.00 |
|
| ZONISAMIDE 25 mg Capsule | 2Generic | $2.00 | $2.00 |
|
| ZONISAMIDE 50 mg Capsule | 2Generic | $2.00 | $2.00 |
|
| ZORYVE 1.5 mg/g CreamRoflumilast | 4Non-Preferred Drug | 30% | 30% |
|
| ZOVIA 1/35 KitEthynodiol Diacetate And Ethinyl Estradiol Tablets | 4Non-Preferred Drug | 30% | 30% | None |
| ZTALMY 50 mg/mL SuspensionGanaxolone | 4Non-Preferred Drug | 30% | 30% |
|
| ZTLIDO 36 mg PatchLidocaine | 4Non-Preferred Drug | 30% | 30% |
|
| ZURZUVAE 20 mg CapsuleZuranolone | 4Non-Preferred Drug | 30% | 30% |
|
| ZURZUVAE 25 mg CapsuleZuranolone | 4Non-Preferred Drug | 30% | 30% |
|
| ZURZUVAE 30 mg CapsuleZuranolone | 4Non-Preferred Drug | 30% | 30% |
|
| ZYDELIG 100 mg Tablet, Film CoatedIdelalisib | 5Specialty Tier | 25% | N/A |
|
| ZYDELIG 150 mg Tablet, Film CoatedIdelalisib | 5Specialty Tier | 25% | N/A |
|
| ZYKADIA 150 mg Tablet, Film CoatedCeritinib | 5Specialty Tier | 25% | N/A |
|
PA = prior authorization, ST = step therapy, QL = quantity limit. Costs are the plan’s initial-coverage cost-sharing from the CMS 2026 formulary files; a drug not listed here is not on this plan’s formulary, though a formulary exception may still be possible.